ArticleThe American journal of drug and alcohol abuse2012
The cost of providing methadone maintenance treatment in Ontario, Canada.
Article in The American journal of drug and alcohol abuse, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Leveraging the role of community pharmacists in the prevention, surveillance, and treatment of opioid use disorders.Addiction science & clinical practice · 2019Pooled it
- Treatment of opioid dependence with depot buprenorphine (CAM2038) in custodial settings.Addiction (Abingdon, England) · 2022Article
- Estimate cost of providing methadone maintenance treatment at a methadone clinic in Nairobi Kenya: direct costs.The Pan African medical journal · 2021Article
- Concurrent psychiatry for patients enrolled in opioid agonist treatment: a propensity score matched cohort study in Ontario Canada.Substance abuse treatment, prevention, and policy · 2019Article
- Quality of primary care among individuals receiving treatment for opioid use disorder.Canadian family physician Medecin de famille canadien · 2019Article
- Cost of provision of opioid substitution therapy provision in Tijuana, Mexico.Harm reduction journal · 2018Article
- Patterns of methadone maintenance treatment provision in Ontario: Policy success or pendulum excess?Canadian family physician Medecin de famille canadien · 2018Article
- Treatment of prescription opioid disorders in Canada: looking at the 'other epidemic'?Substance abuse treatment, prevention, and policy · 2016Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo estimate the cost of providing methadone maintenance treatment in Ontario, Canada, from the perspective of the public payer.
methodsWe analyzed a database of all patient clinic visits, laboratory tests for urine toxicology screening, and methadone scripts from a group of methadone clinics in Ontario. The database consisted of patient visits and visit information from 1 January 2003 to 31 December 2009. We estimated the cost of providing methadone maintenance treatment as the sum of physician costs, laboratory costs for urine samples (toxicology screens), methadone costs, and pharmacy costs. Pharmacy costs include dispensing fees and markups. All costs are expressed in 2010 Canadian dollars.
resultsThe database consisted of 9479 unique patients. The average age on the date of the first recorded visit was 34.3, and among the patients 62.3% were male. There were 6,425,937 patient days of treatment and the total cost of all treatment-related services was approximately $99,491,000. The total cost was comprised of physician billing (9.8%), pharmacy costs (39.8%), methadone (3.8%), and performing urine toxicology screens (46.7%). The average cost per day for treatment was $15.48, corresponding to $5651per year if patients were to remain in treatment continuously.
conclusionsThe cost of providing methadone maintenance treatment in Ontario is comparable to estimates from the United States and Australia. SCIENTIFIC SIGNIFICANCE: This information is important to policy makers for planning and budgeting purposes and as part of a full cost-benefit or cost-effectiveness analysis of methadone treatment.
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